Avaliação estática da posição escapular de pacientes em pré-operatório do manguito rotador: estudo de caso

Abstract

Changes in the dynamics of the rotator cuff muscles can affect the positioning and movements of the scapula. Changes in approach and retraction movements of the scapular can generate difficulty in shoulder stabilization, causing impingement of the rotator cuff, which may progress to rupture. In such cases, surgery is indicated according to the pain and functional impairment of the patient. This study investigates the scapular positioning of four patients in the preoperative of rotator cuff. For the analysis of scapular position, we used the photogrammetric method of Postural Assessment Software - SAPO and radiological imaging, using the program EFilm. It was found that there are few studies focusing on assessment of scapular motion, both in healthy subjects, as in injuries. In the cases studied, patients A, B and D had approximate scapulae on the affected side, while the individual C has clearance on this side. As for lifting shoulder A, C and D had this change, while B did not change. It appears that there are alterations in scapular positioning of individuals in the preoperative of rotator cuff. We suggest a study to evaluate a greater number of individuals in the pre-and postoperatively, so that we can demonstrate the relationship between changes in scapular position preoperatively with developments in physiotherapy rehabilitation.